@layout("/common/_form.html",{js:["/assets/modular/system/btyZxFeiyongfentan/btyZxFeiyongfentan_edit.js"]}){

<form class="layui-form" id="btyZxFeiyongfentanForm" lay-filter="btyZxFeiyongfentanForm">
    <div class="layui-fluid" style="padding-bottom: 75px;">
        <div class="layui-card">
            <div class="layui-card-header">基本信息</div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <input name="id" type="hidden"/>

                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">妖码</label>
                        <div class="layui-input-block">
                            <input id="yaoma" name="yaoma" placeholder="请输入妖码" type="text" class="layui-input" lay-verify="required" required readonly/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">门店名称</label>
                        <div class="layui-input-block">
                            <input id="name" name="name" placeholder="门店名称" type="text" class="layui-input" lay-verify="required" required readonly/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">开业日期</label>
                        <div class="layui-input-block">
                            <input id="kyrq" name="kyrq" placeholder="请输入开业日期" type="text" class="layui-input" lay-verify="required" required readonly/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">卡号</label>
                        <div class="layui-input-block">
                            <input id="kh" name="kh" placeholder="请输入卡号" type="text" class="layui-input" lay-verify="required" required readonly/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">类型<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <select name="type" lay-filter="type">
                                <option value='0'>店面房租</option>
                                <option value='1'>工资</option>
                                <option value='2'>配送进货</option>
                            </select>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">装修费用<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="cost" name="cost" placeholder="请输入装修费用" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>

                </div>
            </div>
        </div>
    </div>
    <div class="form-group-bottom text-center">
        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
        <button type="reset" class="layui-btn layui-btn-primary" ew-event="closeDialog">&emsp;取消&emsp;</button>
    </div>

</form>

@}